LUTHERAN SOCIAL SERVICES OF ILLINOIS; NPI #1174926869

Contact Information

LUTHERAN SOCIAL SERVICES OF ILLINOIS

4011 AVENUE OF THE CITIES
SUITE 102
MOLINE, IL 61265-4454

Phone: 309-797-0200
Fax: 309-797-5135
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Adult Day Care	261QA0600X
Case Management	251B00000X
In Home Supportive Care	253Z00000X

Indicates primary specialty

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NPI Profile & details for LUTHERAN SOCIAL SERVICES OF ILLINOIS

NPI # 1174926869

LBN Legal business name LUTHERAN SOCIAL SERVICES OF ILLINOIS

Authorized official MARK STUTRUD - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/08/2014

Last updated 09/23/2015 - About 11 years ago

Identifiers

License #

3000753

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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